24 results
LAD Coronary Artery Dissection on POCUS

Severe CP x 1 hour, Ant/Sept STEMI on EKG.  ED
LAD Coronary Artery ... hour, Ant/Sept STEMI ... on EKG. ... #Coronary #Artery ... PSAX #Clinical #Cardiology
Wraparound LAD on Cardiac Catheterization

Answer: Proximal “Wraparound” LAD

Here’s a beautiful angiogram shot after reperfusion. Follow the
Cardiac Catheterization ... ’s a beautiful angiogram ... shot after reperfusion ... exactly why the ECG ... #CathLab #cardiology
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
Inpatient Cath Lab ... ASAP: STEMI NSTEMI ... low (1-2) risk, +ECG ... #Indications #Cardiac ... catheterization #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
or echo/angiogram ... have no pain - LAD ... avR - proximal LAD ... #EKG #diagnosis ... electrocardiogram #cardiology
Hyperkalemia EKG - K of 8.5

Here’s an #ECG of a man with ROSC after cardiac arrest

Computer
Hyperkalemia EKG ... man with ROSC after ... cardiac arrest ... classic “Pseudo-STEMI ... #Cardiology #Clinical
Wraparound LAD STEMI on EKG
47 year old with chest pain. Ectopic atrial rhythm with ST elevations.
Wraparound LAD STEMI ... on EKG 47 year ... What's the culprit artery ... #STEMI #EKG #clinical ... #cardiology #electrocardiogram
Focal Takotsubo Cardiomyopathy on Ventriculogram Angiography 

55 year old, severe chest pain after death of close
severe chest pain after ... close relative, ECG ... diagnosis was STEMI ... Ventriculogram #Angiogram ... #clinical #cardiology
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
Main Coronary Artery ... Anterior wall STEMI ... Cardiogenic shock, ECG ... Thrombus #LMCA #Angiogram ... CathLab #clinical #cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... ACTIVATE CATH LAB ... Fick calculated cardiac ... Initiative #Management #Cardiology
The guide catheter was deliberately not engaged with the left main artery, as an occlusion was
the left main artery ... circumflex nor LAD ... indicative of poor cardiac ... Clinical #EM #IM #Cardiology ... #Angiogram #LeftMainOcclusion